Question

Can SunLife take 60 days to respond? Can they deny me even when my doctor says I cannot work?

Asked on January 9th 2014 by Shannon Johnson
I have updated medical information and a doctors statement to Sun Life that they requested to continue my long-term disability benefits. It has been more than sixty days for them to give me an answer. I contacted them and my claims manager informed me that he was sending out a denial letter for lack of medical proof to be off work. My question is: can they take this long to respond, and can they deny me even with my doctors statement on their form, states that I can not work? Can they say I can work even though my doctor says that I can’t.

Answer

Answered on January 10th 2014 by Attorney Alex Palamara

Shannon, Sixty days does is a long time to respond. ERISA provides Sun Life with 45 days to render a decision, but this time period can be affected based upon various factors. With respect to the denial- unfortunately, it is all too common that an insurance company denies a claim for benefits despite your doctor indicating you are unable to work. Please feel free to contact our office to discuss how we may be able to assist you with the appeal process.